Jeremy Todd Jordan in Charleston - Physician Assistant
Jeremy Todd Jordan - NPI 1790729614
Jeremy Todd Jordan is a Physician Assistant in Charleston, . Jeremy Todd Jordan practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Jeremy Todd Jordan is 1790729614. The last update date is 2021-08-03.
Jeremy Todd Jordan's current location address is 3200 Maccorkle Ave Se, Charleston, . You can contact this provider via phone number 3043885432. The mailing address for Jeremy Todd Jordan is 3200 Maccorkle Ave Se, Charleston, . To know further, please read the information below!
Provider Profile Detail
Provider Name | Jeremy Todd Jordan |
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Address | 3200 Maccorkle Ave Se, Charleston, |
Phone Number | 3043885432 |
Fax Number | |
Sole Proprietor | N |
Credentials | PA-C, MBA |
NPI Number Detail
NPI Number | 1790729614 |
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Provider Enumeration Date | 2006-06-15 |
Last Updated Date | 2021-08-03 |
Provider Mailing Address Detail
Address | 3200 Maccorkle Ave Se |
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City | Charleston |
State | (WV) |
Post Code | 253041297 |
Phone Number | 3043885432 |
Fax Number |
Provider's Primary Taxonomy Detail
Speciality | Physician Assistant |
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Taxonomy | 363A00000X |
Licence No | 823 |
Definition: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perfor |
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What is the unique 10-digit identification code issued to Jeremy Todd Jordan by the Centers for Medicare & Medicaid Services?
The Jeremy Todd Jordan has been assigned the NPI (National Provider Identifier) 1790729614 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you share the physical location details of Jeremy Todd Jordan?
The Jeremy Todd Jordan is situated at 3200 Maccorkle Ave Se, in the city of Charleston, state of WV, with the zip code 253041297.
What is Jeremy Todd Jordan's area of expertise and its corresponding taxonomy classification?
The Jeremy Todd Jordan's field of specialization is Physician Assistant, and it falls under the taxonomy code 363A00000X, which categorizes healthcare providers based on their areas of practice.
When was the Jeremy Todd Jordan's 1790729614 issued?
The Jeremy Todd Jordan's 1790729614 was issued on 2006-06-15.
As of what date was the information pertaining to Jeremy Todd Jordan, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Jeremy Todd Jordan, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2021-08-03.